| Jeromy Lee Balduf, PA-C, RDN | |
|
5700 Monroe St Unit 310, Sylvania, OH 43560-2768 | |
| (419) 578-7555 | |
| (419) 539-6336 |
| Full Name | Jeromy Lee Balduf |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 5 Years |
| Location | 5700 Monroe St Unit 310, Sylvania, Ohio |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003561309 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 5601012342 (Michigan) | Secondary |
| 363A00000X | Physician Assistant | 50.007502RX (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Toledo Hospital The | Toledo, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Springfield Urgent Care Pllc | 3971869942 | 26 |
| Promedica Multi Specialty Physicians | 7113182809 | 269 |
| Entity Name | Springfield Urgent Care PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144747460 PECOS PAC ID: 3971869942 Enrollment ID: O20171107002040 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeromy Lee Balduf, PA-C, RDN 5700 Monroe St Unit 310, Sylvania, OH 43560-2768 Ph: Not Available | Jeromy Lee Balduf, PA-C, RDN 5700 Monroe St Unit 310, Sylvania, OH 43560-2768 Ph: (419) 578-7555 |
Rebecca M. Burgoon, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 5700 Monroe St Unit 103, Sylvania, OH 43560 Phone: 419-843-7996 Fax: 419-841-7704 |
Ryan Joseph Szenderski, P A Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7640 Sylvania Avenue, # 100, Sylvania, OH 43560 Phone: 419-473-2273 Fax: 419-473-0474 |
Jenna Yeager, PA-C, ATC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7640 Sylvania Ave Ste B, Sylvania, OH 43560 Phone: 419-517-8178 Fax: 419-517-8188 |
Natalie L Walkup, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5308 Harroun Rd # 285, Sylvania, OH 43560 Phone: 419-824-5633 Fax: 419-824-5953 |
Mrs. Katherine Hay Romp, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5308 Harroun Rd Ste 280, Sylvania, OH 43560 Phone: 419-524-5668 Fax: 419-885-6919 |
Nicole Renee Lasich, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5308 Harroun Rd Ste 280, Sylvania, OH 43560 Phone: 567-585-2080 |
Kathleen M Hoitenga, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5700 Monroe St Unit 101, Sylvania, OH 43560 Phone: 419-291-6777 Fax: 419-480-6607 |